Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.79 / $118.79 / $419.97	Facility		$118.79	$118.79	$419.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $119.99 / $119.99	Professional		$73.77	$119.99	$119.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.59 / $171.59 / $171.59	Facility		$171.59	$171.59	$171.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.59 / $171.59 / $171.59	Facility		$171.59	$171.59	$171.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $133.32 / $179.29	Professional		$88.88	$133.32	$179.29